| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $132.72 | $166.95 | $424.70 |
Cigna
| Facility | 26 | $137.06 | $137.06 | $137.06 |
Martin's Point
| Facility | 26 | $132.72 | $213.84 | $433.99 |
Priority Health
| Facility | 26 | $137.06 | $137.06 | $137.06 |
UPMC Health Plan
| Facility | 26 | $111.41 | $118.55 | $118.55 |